Teamwork and Collaboration in Professional Nursing

Teamwork and

Collaboration in

Professional Nursing

Practice

Chapter 13

Healthcare Delivery System

• Population shifts

• Cultural diversity

• Patterns of diseases

• Advances in technology

• Economic changes

Models of Care

• Healthcare system models:

– Chain of command

– Complex adaptive systems (CASs)

• Nursing models of patient care:

– Team nursing

– Total patient care

– Case management

Roles of the Professional Nurse

• Caregiver

• Advocate

• Educator

• Leader

• Manager

• Collaborator

• Researcher

Teamwork and Collaboration

• Refers to functioning effectively within

nursing and interprofessional teams,

fostering open communication, mutual

respect, and shared decision making to

achieve quality patient care (QSEN, 2007)

Collaborative Practice Goals

• Improve client satisfaction with care

• Enhance continuity across continuum of care

• Provide research-based, high-quality, cost-

effective care that is driven by expected outcomes

• Promote mutual respect and communication

between clients and healthcare team members

• Provide opportunities to resolve issues and solve

problems

Levels on the Continuum of

Collaboration

Information exchange Consultation Referral

Lowest Level _______________________________________________________Highest Level

Communication Coordination of care Co-management

between patient and

each professional

Interprofessional Collaborative

Practice Domains

• Values/ethics for interprofessional practice

• Roles and responsibilities for collaborative

practice

• Interprofessional communication practices

• Interprofessional teamwork and team-based

practice

Interprofessional Team

Communication

• TeamSTEPPS (Team Strategies and Tools to

Enhance Performance and Patient Safety)

• SBAR (Situation, Background, Assessment,

and Recommendation)

• Cross-monitoring

• CUS (Concerned, Uncomfortable, Safety)

• Call out, check back, and 2-challenge rule

Team Performance

• Groupthink

• Excessive authority gradients

• Excessive courtesy

• Performance-shaping behaviors

Barriers to Interprofessional

Communication and Collaboration

• Cultural differences, gender differences,

generational differences, personality differences

• Hierarchy, organizational culture, differences in

schedules and routines, differences in jargon,

professional rivalry, disruptive behavior

• Differing values and expectations, varying

qualifications and status, and complexity of care

requiring rapid decision making

UQ Interprofessional Practice: Harness

the Power of Healthcare Teams Video

https://youtu.be/iLwFrMYttz4